Kelly Anne Gardner, RD,CDE
NPI 1730311036ActiveIndividual· Dietitian, Registered· Cooperstown, NY
Dietitian, Registered (RD,CDE) in Cooperstown, New York, licensed in NY and MD, with an NPI issued in August 2009. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1730311036 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD,CDE |
| Sole proprietor | Yes |
| NPI issued | Aug 20, 2009 |
| Last updated in NPPES | Nov 21, 2022 |
| Certified by provider | Nov 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 011102 | NY |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | DO1266 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NY) |
|---|
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All 18 registered dietitians in Cooperstown · All registered dietitians in New York